Is Newcastle Disease Zoonotic? Can Humans Get It?

Newcastle disease (ND) is a highly contagious viral illness that primarily affects birds worldwide, causing significant disease in domestic poultry. Due to its rapid spread and high mortality rates in susceptible flocks, ND presents a serious threat to avian health and global food security. Given its origin in animals, a question arises about the potential for this pathogen to cross the species barrier and infect people. This article addresses whether Newcastle disease is considered zoonotic and examines its specific, limited impact on human health.

The Nature of Newcastle Disease

Newcastle disease is caused by the Newcastle disease virus (NDV), which is a type of avian paramyxovirus (APMV-1). This virus has a wide host range, infecting at least 250 species of birds, including chickens, turkeys, pigeons, and various wild birds. Domestic poultry, particularly chickens, are highly susceptible to the most virulent strains.

The severity of the disease depends on the specific strain, which are classified into three forms: lentogenic (mild), mesogenic (moderate), and velogenic (highly virulent). The most severe, or velogenic, strains can result in high morbidity and mortality rates, sometimes approaching 100% in unvaccinated flocks. The virus attacks different systems, causing signs such as respiratory distress, neurological symptoms like a twisted neck, and digestive issues.

Zoonotic Transmission and Human Impact

Newcastle disease is classified as a minor zoonosis, meaning it can occasionally be transmitted to humans. Human infection is rare and generally results in a very mild, self-limiting illness. Unlike the severe systemic disease seen in birds, the virus does not cause a life-threatening or widespread public health concern in people.

The most common symptom observed in infected individuals is conjunctivitis, which is inflammation of the membrane covering the eye and inner eyelid. This condition typically involves eye swelling, irritation, and redness, resolving on its own without requiring medical treatment. Less frequently, people may experience mild, temporary flu-like symptoms, such as a fever, headache, or general malaise.

Transmission to humans almost exclusively occurs through direct, often occupational, exposure to high concentrations of the virus. This exposure typically happens via contaminated aerosols or direct contact with infected birds, their secretions, or contaminated tissues. Individuals at the highest risk include poultry workers, veterinarians, laboratory personnel, and those involved in mass avian vaccination efforts. The virus can be introduced into the eye by rubbing the eyes with contaminated hands or by vaccine splash. The disease is not known to be transmissible from person to person.

Reducing Risk of Exposure

Individuals who work with or own birds can take specific biosecurity measures to minimize the risk of accidental exposure to Newcastle disease virus. The most fundamental precaution is maintaining excellent personal hygiene, particularly meticulous handwashing with soap and water. Handwashing should be performed immediately before and after handling birds, eggs, or any equipment that has been in contact with poultry.

The use of Personal Protective Equipment (PPE) is a practical way to create a barrier against the virus, especially when dealing with sick birds or high-risk materials. This equipment should include gloves, protective eyewear, and face masks. Clothing and footwear worn in bird areas should be cleaned and disinfected regularly, or dedicated outerwear should be used to prevent carrying the virus to other areas.

Controlling the disease in the avian population indirectly reduces the risk to humans by lowering the overall viral load in the environment. This includes following strict biosecurity protocols to prevent the virus from entering a flock, such as isolating new birds before introduction. Vaccination programs for domestic poultry are also a widely used control measure to prevent outbreaks and mitigate the risk of human exposure to virulent strains.